| NPI | 1649421553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 292628) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA 292628 8363) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |