| NPI | 1821588609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018028412) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014005178) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2024-05-03 |