| NPI | 1518361732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014035978) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 2008003386) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2016-07-15 |