| NPI | 1245285139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019002853) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 069880) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-02-18 |