| NPI | 1518785146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 209031246) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H181589) |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2025-02-06 |