| NPI | 1093237380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2017034983) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: KS 14112458052) |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2018-10-06 |