| NPI | 1437510765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016007859) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201602597NP-PP) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2019-09-05 |