| NPI | 1326595281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017035852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2006025924) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2019-08-08 |