| NPI | 1720958846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL 11043273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11043273) |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |