| NPI | 1336254549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 30621) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 000201851) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-05-30 |