| NPI | 1336849553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO F02230649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023017038) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-11-09 |