| NPI | 1356982896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020001739) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018035951) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2024-03-19 |