| NPI | 1174532741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00509) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM R26903) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2015-09-22 |