| NPI | 1225038987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4704123446) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704123446) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2010-09-09 |