| NPI | 1417785718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP030822) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA RN714403) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-10-10 |