| NPI | 1134728207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2020035214) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2020035214) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2020035214) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: MO 2020035214) | |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2021-02-28 |