| NPI | 1245682939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2016025030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2008020763) |
| 364SF0001X Clinical Nurse Specialist Family Health (Licence: MO 2016025030) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2019-10-25 |