| NPI | 1033733647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2025005129) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2025005129) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 239719) | |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2025-03-17 |