| NPI | 1205566601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: AL 1-146272) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: GA GAA-NP001527) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2024-07-31 |