| NPI | 1538425269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2021011348) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MO 2007019869) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2022-06-13 |