| NPI | 1467020545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2021017012) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022039580) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2023-06-27 |