| NPI | 1184144156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017025490) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013009073) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-06-28 |