| NPI | 1245254093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2257) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 2005003744-21) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN115961) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-10-06 |