| NPI | 1447237409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R671681) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS R671681) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2010-08-16 |