| NPI | 1669736476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012021025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2005018321) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2026-06-08 |