| NPI | 1619086287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 900362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 900362) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-01-13 |