| NPI | 1841531233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013008383) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 75951) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2022-11-07 |