| NPI | 1497401434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA NP000244) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA NP000244) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2024-06-12 |