| NPI | 1568640019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022539) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2630002) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN200011) | |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: GA 200011) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2025-11-07 |