| NPI | 1912422452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP10449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ AP10449) |
| Enumeration Date | 2017-08-05 |
| Last Update Date | 2025-04-30 |