| NPI | 1003274440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016035606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2009027387) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2016035606) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2016035606) | |
| Enumeration Date | 2016-01-31 |
| Last Update Date | 2022-07-21 |