| NPI | 1013347400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014000705) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 2001017728) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 80875) | |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2022-04-22 |