| NPI | 1033578117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2015040595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2015040595) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2023-06-05 |