| NPI | 1255979621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020001585) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 2006007880) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79203-072) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2023-10-27 |