| NPI | 1881928703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010000564) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 113908) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 75019) | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2024-10-17 |