| NPI | 1548557788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP011271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA SP011271) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2023-05-04 |