| NPI | 1417642703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023013327) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: MO 2010006597) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2026-01-23 |