| NPI | 1487071023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 20140005151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 76286) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2019-04-10 |