| NPI | 1215796636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2024010420) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: KS 5383091) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-04-19 |