| NPI | 1639562515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA F0115899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA F0115899) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2016-12-06 |