| NPI | 1134127772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 0293583-22) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NM R11582) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2008-11-05 |