| NPI | 1366930794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11192) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ AP11192) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2021-02-08 |