| NPI | 1730345224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA RN168367) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 168367) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2009-11-01 |