| NPI | 1487694659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2014010124) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2014010124) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 073032) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-05-03 |