| NPI | 1053776179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015038036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2009003721) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2024-05-07 |