| NPI | 1245841634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021006349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5380238) |
| 163W00000X Registered Nurse (Licence: MO 2005031542) | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2022-07-08 |