| NPI | 1316598097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R220247) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD R220247) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2025-06-30 |