| NPI | 1417767799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2024015292) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-83901-111) |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-09 |