| NPI | 1477147668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022035165) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018002928) |
| Enumeration Date | 2021-02-27 |
| Last Update Date | 2023-11-13 |