| NPI | 1093926784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 002035) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 002035) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-12-29 |