| NPI | 1568640019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: GA 200011) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN200011) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2630002) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2021-06-22 |