| NPI | 1477218717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021041456) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2021041456) |
| 363L00000X Nurse Practitioner (Licence: MO 2021041456) | |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2022-05-09 |