| NPI | 1366833998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-131916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 1-131916) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2023-10-26 |