| NPI | 1366547507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 132174) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 005001277) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2011-01-20 |