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 |