| NPI | 1134629728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2018005315) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2018005315) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2024-12-17 |