| NPI | 1891068896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012005798) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2009000360) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2023-06-22 |