| NPI | 1316497068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO F06190182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2006019267) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2020-04-13 |