| NPI | 1700664901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023038351) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MO 2018029749) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-20 |