| NPI | 1538601703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017029825) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013022209) |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2017-08-18 |