| NPI | 1609947431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR 090006104N1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 69483) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-10-17 |