| NPI | 1689622417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 086876) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 086876) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-01-20 |