| NPI | 1790719250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R113920) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS R113920) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-03-01 |