| NPI | 1427615269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019021307) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2012002878) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-07-10 |