| NPI | 1679648810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP006566B) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA SP006566B) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2012-06-27 |