| NPI | 1528503380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017003913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 109025) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2024-09-16 |