| NPI | 1003414020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2020014418) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: KS 53-79776-091) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2020014418) | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2023-06-07 |