| NPI | 1902558893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 269050) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: AZ RNP269050) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2025-10-07 |