| NPI | 1871067686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-145997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 29957) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2022-10-05 |