| NPI | 1427928357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2025047940) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-156952-081) |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-12-22 |