| NPI | 1427304104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 252661) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: NC 252661) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2016-04-01 |