| NPI | 1851370340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024012067) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 138380) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2024-08-09 |