| NPI | 1093308447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2021005907) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2011029585) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2020090262) | |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-02-19 |