| NPI | 1982123527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME CNP171176) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2324474) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2024-09-05 |