| NPI | 1215585443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024178043) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0024178043) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0024178043) | |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2023-03-02 |