NPI | 1356148050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2024033202) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO F01251123) |
Enumeration Date | 2025-02-28 |
Last Update Date | 2025-08-06 |