| NPI | 1649206905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN189107) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA RN189107) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209003126) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2018-03-07 |