| NPI | 1922824002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11036572) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL 11036572) |
| Enumeration Date | 2024-11-23 |
| Last Update Date | 2025-01-28 |