| NPI | 1932754314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11003379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL APRN11003379) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: FL APRN11003379) | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2021-08-25 |