| NPI | 1154388122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 103221) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 103221) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-04-06 |