| NPI | 1770952525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN1108325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015032906) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 77943) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2021-12-07 |