| NPI | 1346741170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA AP09810) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA ap09810) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2024-10-31 |