| NPI | 1174005177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1030848) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2012033999) |
| 163W00000X Registered Nurse (Licence: KS 14-143589-061) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2018039446) | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2024-06-21 |