| NPI | 1013402544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2021017049) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2020038133) |
| 363L00000X Nurse Practitioner (Licence: MO 2021017049) | |
| 363L00000X Nurse Practitioner (Licence: IL 209017823) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209017823) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2020038133) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2023-03-22 |