| NPI | 1891481586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 11018604) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL 11018604) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: FL 11018604) | |
| 363L00000X Nurse Practitioner (Licence: FL 11018604) | |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |