| NPI | 1467687905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21450) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75616-051) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2003017876) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2023-09-19 |