| NPI | 1821469982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015028845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53767042) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |