NPI | 1053844290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017000682) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2017000682) |
163W00000X Registered Nurse (Licence: MO 2008024041) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2025-09-19 |