| NPI | 1235188558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM R43142) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2013-12-23 |