| NPI | 1437950136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025010749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010017332) |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-04-04 |