| NPI | 1225763469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA RN271602) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN271602) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN271602) | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2024-05-15 |