| NPI | 1851498307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2001028798) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45381) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2018-06-21 |