| NPI | 1083375943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022003923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016006246) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-02-21 |