| NPI | 1427207158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM CNP01398) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM R60786) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2014-02-21 |