| NPI | 1346603743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2018044471) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2002005041) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2019-01-18 |