| NPI | 1609272897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2014038386) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2014038386) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014038386) | |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2024-01-18 |