| NPI | 1245721984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018027302) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 78325) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-08-16 |