| NPI | 1831539428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013022811) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2003004359) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-07-09 |