| NPI | 1427335835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A03620) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR 1427335835) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2020-01-08 |