| NPI | 1730559436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO F1015167) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: MO 141823) |
| 363L00000X Nurse Practitioner (Licence: MO 2015039037) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2017-04-05 |