| NPI | 1306214697 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2016001344) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016001344) | 
| Enumeration Date | 2015-09-03 | 
| Last Update Date | 2025-04-17 |