| NPI | 1437409992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013045365) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2013045365) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170365) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2020-01-23 |