| NPI | 1902997778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 0282962) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS R855431) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-10-23 |