| NPI | 1376250647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN230731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 026375) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2023-08-21 |