| NPI | 1831202977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 143839) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 2556) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2013-04-22 |