| NPI | 1609449586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021039148) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MO 2008027080) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-08-12 |