| NPI | 1386939635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2013036178) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2013036179) |
| 363L00000X Nurse Practitioner (Licence: MO 2013036179) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2014-07-10 |