| NPI | 1871124008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 2019049453) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-144943) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2024-05-20 |