| NPI | 1417497918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 225443) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 225443) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-06-08 |