| NPI | 1831596576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5007329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 5007329) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2020-12-17 |