| NPI | 1053757492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013006313) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 9788756-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 9788756-8900) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2020-07-02 |