| NPI | 1003335803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2018005851) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MO 2012022980) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2020-12-22 |