| NPI | 1790233187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020012106) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R48867) |
| 163W00000X Registered Nurse (Licence: MO 2021045824) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A005080) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2023-07-28 |