| NPI | 1861854556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2016008616) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011017832) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-02-16 |