| NPI | 1285288092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2020011028) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS TMP-158797) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2023-06-16 |