| NPI | 1285801878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A154578) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46162) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2006035403) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2021-08-06 |