| NPI | 1407443773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO F08200142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016043097) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2023-05-06 |