| NPI | 1013584952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021021013) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO F06210348) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-01-29 |