| NPI | 1003898776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A060979) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA A060979) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2016-07-18 |