| NPI | 1023081528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 200550003NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 200550003NP) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2023-01-30 |