| NPI | 1447793658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016042119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2006020596) |
| 163W00000X Registered Nurse (Licence: KS 14-117144-051) | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2017-03-06 |