| NPI | 1295920817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2010039885) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MO 140810) |
| 363L00000X Nurse Practitioner (Licence: MO 140810) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 140818) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2010039885) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 140810) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2022-03-28 |