| NPI | 1295270726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO F1016479) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2016039168) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2024-05-09 |