| NPI | 1598305260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 207659) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 207659) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2022-06-22 |