| NPI | 1871103093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014018635) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020026219) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-09-08 |