| NPI | 1245902485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 265210) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 265210) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2023-07-28 |