| NPI | 1831662337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018034767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2021-11-17 |