| NPI | 1063043297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2020001358) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2020001358) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2020001358) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MO 2020001358) | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |