| NPI | 1003577925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2017043285) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021039037) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-05-02 |