| NPI | 1861944415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016040140) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013007050) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2026-06-05 |