| NPI | 1881184893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 902625) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS BASS-L7SK8T) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-06-11 |