| NPI | 1386321826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2023025367) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016041995) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2026-03-05 |