| NPI | 1447020847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024001832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2019022439) |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-02-09 |