| NPI | 1235460163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010001250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 154318) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2014-04-22 |