| NPI | 1912383100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 62683) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9408065) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2023-06-08 |