| NPI | 1881883692 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2810) | 
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ AP2810) | 
| Enumeration Date | 2007-10-17 | 
| Last Update Date | 2013-05-17 |