| NPI | 1740517515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2009034346) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2004018016) |
| Enumeration Date | 2009-11-15 |
| Last Update Date | 2021-03-29 |