| NPI | 1295463743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 13070-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 13070) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 13070) | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-15 |