| NPI | 1740251305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD AC000295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0001194155) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2022-04-08 |