| NPI | 1689997520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2013032151) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2001002364) |
| Enumeration Date | 2010-03-06 |
| Last Update Date | 2022-10-05 |