| NPI | 1871108738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 11008989) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11008989) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2022-10-10 |