| NPI | 1972875292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA SP011918) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP011918) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2020-09-28 |