| NPI | 1700814514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R629804) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS R629804) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-04-10 |