| NPI | 1396344289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2020035062) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2020035062) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MO 2020035062) | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |