| NPI | 1669984357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2017039281) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2000169885) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2024-04-24 |