| NPI | 1770590739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP01275) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R52698) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-06-14 |