| NPI | 1598273377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 1776) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 049978GA) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2019-03-05 |