| NPI | 1679040778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11000306) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 11000306) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2025-01-07 |