| NPI | 1750708335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2014003279) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2014003279) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MO 2014113279) | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2022-10-18 |