| NPI | 1699537118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029449) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA RN591912) |
| 207Q00000X Family Medicine (Licence: PA RN591912) | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-08-12 |