| NPI | 1558023903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2021017741) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021017741) |
| 367A00000X Advanced Practice Midwife (Licence: MO 2021017741) | |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2023-12-01 |