| NPI | 1932789534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP002330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R035858) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: SD CP002330) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2022-05-06 |