| NPI | 1942273008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 080045889N1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 80045889N1) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2018-11-29 |