| NPI | 1144828716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO F12201042) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MO 2009015723) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2021-05-26 |