| NPI | 1366148306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2023006102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018024713) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-20 |