| NPI | 1659035764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL F09211204) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL F09211204) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |