| NPI | 1588369334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023018535) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2009015160) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-07-31 |