| NPI | 1629484647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018035616) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2014024621) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: MO 2014022682) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2022-02-28 |