| NPI | 1356308035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 139343) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 45534) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2015-07-14 |