| NPI | 1750919478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020024189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2020010047) |
| 163W00000X Registered Nurse (Licence: IN 28225665A) | |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2023-01-10 |