| NPI | 1073718409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014014875) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MO 2007024446) |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2019-12-18 |