| NPI | 1336444520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018024316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2005031209) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2020-12-13 |