| NPI | 1700491503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA RN254985) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN254985) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2023-05-18 |