| NPI | 1922017441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA VP000749A) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA RN235479) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-11-25 |