| NPI | 1942904156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2023012430) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2019019971) |
| 163W00000X Registered Nurse (Licence: IL 041492003) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2023012430) | |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2025-01-03 |