| NPI | 1467814962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022012288) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7671) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-09-28 |