| NPI | 1124216676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A104585) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA A104585) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2008-09-10 |