| NPI | 1497731525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 092664) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 092664) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2012-01-20 |