| NPI | 1225027832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 5158) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS R844603) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2018-05-16 |