| NPI | 1770928343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2016009888) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2024011653) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2016009888) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28208566A) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2024-09-30 |