| NPI | 1508227810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016001345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 77059) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2020-01-31 |