| NPI | 1982143814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WV 81135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 81135) |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2018-03-17 |