| NPI | 1386639102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1922612) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 1922612) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2019-12-11 |