| NPI | 1588192553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2017023518) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 20130036156) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2023-12-14 |