| NPI | 1619497740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017020145) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MO P16054) |
| 163WE0003X Registered Nurse, Emergency (Licence: MO 2014002396) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2021-04-08 |