| NPI | 1205178928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2013007650) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MO 2004017918) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5006929) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2014-10-08 |