| NPI | 1437625951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 1-131225) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-131225) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2023-10-27 |