| NPI | 1275914798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015008054) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5376698061) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2017-12-06 |