| 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 |