| NPI | 1780253351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024181625) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0024181625) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0024181625) | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2024-05-17 |