| NPI | 1164066023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2023040437) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2023040437) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MO 2013025149) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2023040437) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2023-11-06 |