| NPI | 1144679192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2017005145) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2004004589) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2025-05-21 |