| NPI | 1467706549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018035613) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MO 2010034802) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2022-11-03 |