| NPI | 1225277635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015006325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46242) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2015-05-29 |