| NPI | 1427302769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019023267) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9278777) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 901943) | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2019-10-19 |