| NPI | 1215014485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP3211) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MS R862053) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-09-17 |