| NPI | 1174046130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA F07170042) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA AP09595) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP09595) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2019-08-20 |