| NPI | 1184096711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015040605) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010022515) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2022-09-02 |