| NPI | 1437313335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 091419) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75377) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2016-06-27 |