| NPI | 1831830512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: KY 3017258) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017258) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-05-06 |