| NPI | 1609537562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2022000171) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2006019200) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-04-09 |