| NPI | 1437138419 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 2035) | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC APN2035) | 
| 363L00000X Nurse Practitioner (Licence: SC 2035) | |
| Enumeration Date | 2006-01-10 | 
| Last Update Date | 2020-10-02 |