| NPI | 1952954208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021026225) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2017004142) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 80411) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-06-14 |