| NPI | 1851663157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011014531) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5375586) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2024-11-15 |