| NPI | 1346248507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID NP428A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP428A) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2023-07-05 |