| NPI | 1730942285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 115143) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 115143) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-05-07 |