NPI | 1023602653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2021021276) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MO 2008033483) |
Enumeration Date | 2021-02-24 |
Last Update Date | 2023-08-03 |