| NPI | 1669669537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 149476) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2007005995) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2019-11-11 |