| NPI | 1033659859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2017013397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016034064) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2017013397) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2024-12-09 |