| NPI | 1417126897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC NA) |
| Additional Taxonomies | 207QA0000X Family Medicine Adolescent Medicine (Licence: NC 189759) |
| 207QA0505X Family Medicine Adult Medicine (Licence: NC 189759) | |
| 207R00000X Internal Medicine (Licence: NC 189759) | |
| 208000000X Pediatrics (Licence: NC 189759) | |
| 2080A0000X Pediatrics Adolescent Medicine (Licence: NC 189759) | |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2022-04-06 |