| NPI | 1780026377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013025604) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010006047) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2019-11-25 |