| NPI | 1275713588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.077691) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.077691) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007951) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2021-05-24 |