| NPI | 1730759531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2021024182) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95018025) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2022-08-06 |