| NPI | 1265448757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00627) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NM R30827) |
| 208000000X Pediatrics (Licence: NM R30827) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-07-03 |