| NPI | 1740059278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2024006643) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MO 2017026685) |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2024-04-12 |