| NPI | 1588905970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017007329) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MO 2007019003) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2023-09-25 |