| NPI | 1154595072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2003020218) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2003020218) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2018-02-05 |