| NPI | 1215011101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 300326) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 122397) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-04-25 |