| NPI | 1437570504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 167997) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 167997) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2014-04-24 |