| NPI | 1669750261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010042114) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2006023808) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2018-12-27 |