| NPI | 1861945719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: FL 9303768) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9303768) |
| 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: FL 9303768) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2021-08-16 |