| NPI | 1326487414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013019754) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2018-08-16 |