| NPI | 1497061576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017038953) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2006016208) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2023-02-14 |