| NPI | 1881146827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016034338) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 77440) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |