| NPI | 1760961007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9338759) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9338759) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ARNP9338759) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-09-10 |