| NPI | 1760522668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP03646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA RN074892) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2018-05-01 |