| NPI | 1528443264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2014022519) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014022519) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2024-06-19 |