| NPI | 1417492539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016038317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO F09161375) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2023-02-14 |