| NPI | 1427555630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL APRN9321162) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9321162) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2021-03-25 |