| NPI | 1518925932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 1-048765) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-048765) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-01-11 |