| NPI | 1265088959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019040553) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MO 2013028161) |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2020-02-10 |