| NPI | 1740583897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010031309) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75284-122) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018451) | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2022-08-17 |