| NPI | 1740377084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200550118NP) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 200550118np) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-10-09 |