| NPI | 1760149082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021047918) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 2008016142) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-12-01 |