| NPI | 1629354212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011034268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2000162302) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2023-11-21 |