| NPI | 1407749211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA RN281352) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN281352) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-10-08 |