| NPI | 1386892073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006620) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0017139141) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167804) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2013-12-30 |