| NPI | 1356675045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2007023377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5375006101) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2018-03-17 |