| NPI | 1548763121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI aprn-3460) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2015041111) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2023-06-13 |