| NPI | 1033728720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022022472) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 13-144794-042) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2022-07-11 |