| NPI | 1447894829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020001360) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016000739) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79286-111) | |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-05-27 |