| NPI | 1245764547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017010993) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 77616) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2018-02-22 |