| NPI | 1780605709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04497) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA RN097090 AP04497) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2021-04-16 |