| NPI | 1033000286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2025032065) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011002495) |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-31 |