| NPI | 1902364342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024178845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC RN1035311) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2020-02-18 |