| NPI | 1255393716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 051062) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 051062) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 051062) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 051062) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2009-03-30 |