| NPI | 1225819048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2023039046) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2023039046) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2023039046) | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-03-04 |