| NPI | 1497754329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 094006084N1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 094006084) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2007-10-01 |