| NPI | 1952285488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 20250034153) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025034153) |
| 163W00000X Registered Nurse (Licence: MO 2014032099) | |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-09-08 |