| NPI | 1609444637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2022003758) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95077467) |
| 163W00000X Registered Nurse (Licence: MO 2021015045) | |
| 363LF0000X Nurse Practitioner Family (Licence: MO F10210912) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2023-03-13 |