| NPI | 1275382913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28746) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 28746) |
| 207R00000X Internal Medicine (Licence: SC 28746) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 28746) | |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |