| NPI | 1285672394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN 159135) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA RN159135 NP) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2011-02-21 |