| NPI | 1831344639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL RP002437) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP012320) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2019-05-07 |