| NPI | 1881660561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 167499) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 167499) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2013-01-31 |