| NPI | 1811234917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020002850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 9747269-4405) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2020002850) | |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2020-03-31 |