| NPI | 1891655908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2026003843) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 23620319) |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2026-02-03 |