| NPI | 1053844290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017000682) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2008024041) |
| 363L00000X Nurse Practitioner (Licence: MO 2017000682) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2024-09-30 |