| NPI | 1780911636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R860115) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS R860115) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2014-10-30 |