| NPI | 1336157213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 082605) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 082605) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: MO 082605) | |
| 363L00000X Nurse Practitioner (Licence: MO 082605) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 082605) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-09-22 |