| NPI | 1205247236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014006212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010022329) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2025-02-07 |