| NPI | 1134467368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013002954) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2004020222) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-08-05 |