| NPI | 1427282284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA APO5777) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP05777) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2024-02-14 |