| NPI | 1689022089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2015032918) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011017712) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2019-08-08 |