| NPI | 1144714023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO F03170063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2012024057) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-01-30 |