| NPI | 1255432969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005971) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 1262282) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-11-30 |