| NPI | 1508278730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014014296) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2014014296) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MO 2006032413) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2018-05-22 |