| NPI | 1528421799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2016011443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2004025386) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-08-07 |