| NPI | 1851857130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019005034) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014022824) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-06-11 |