| NPI | 1992173637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015029409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A141748) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |