| NPI | 1457850497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2018005849) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO AG01180135) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2024-12-13 |