| NPI | 1225004161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA 102942) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 5201010) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-01-16 |