| NPI | 1649385444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R124009) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R124009) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-09-12 |