| NPI | 1881099471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014035637) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2007021521) |
| Enumeration Date | 2014-10-26 |
| Last Update Date | 2021-09-20 |