| NPI | 1285461780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024040624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO F03240136) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-11-21 |