| NPI | 1437555653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014039710) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2009022759) |
| 363L00000X Nurse Practitioner (Licence: MO 2014039710) | |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2024-06-13 |