| NPI | 1851816797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902087) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS F06171077) |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2018-03-17 |