| NPI | 1326717612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 7210338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 7210338) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |