| NPI | 1245977040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2022029614) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO STUDENT) |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2022-08-11 |