| NPI | 1922466028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016003102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77176) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2017-08-10 |