| NPI | 1306884259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R653683) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS R653683) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2009-05-19 |