| NPI | 1790957066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 3624) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2018-12-10 |