| NPI | 1548706120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016037791) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 77505) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-04-21 |