| NPI | 1427509611 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20433) | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 20433) | 
| Enumeration Date | 2016-10-22 | 
| Last Update Date | 2021-04-19 |