| NPI | 1205561867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2022020131) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MO 2015023226) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |