| NPI | 1770535460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ RN097080) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: AZ RN097080) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-11-28 |