NPI | 1356138440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2025014272) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018039436) |
Enumeration Date | 2025-04-22 |
Last Update Date | 2025-05-08 |