| NPI | 1437827490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 5051298) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182626) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5015298) | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2022-11-05 |