| NPI | 1184685463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00047845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00047845) |
| 363L00000X Nurse Practitioner (Licence: WA MD00047845) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2021-05-11 |