| NPI | 1265721237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011008776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2005011210) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2019-04-18 |