| NPI | 1801345574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2016032673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016032673) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2024-11-20 |