| NPI | 1366547507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25840) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 132174) |
| 207Q00000X Family Medicine (Licence: NC 005001277) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-10-31 |