| NPI | 1093324816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 1093324816) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020020506) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2022-09-12 |