| NPI | 1265628846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 058508-23) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NH 058508-23) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2021-03-24 |