| NPI | 1285273086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MO 2021036667) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN60612445) |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2021-09-10 |