| NPI | 1073279568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2022015784) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: MO 149260) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2022-12-13 |