| NPI | 1497851448 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2024025455)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00044400)  | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2024025455)  | |
| Enumeration Date | 2006-09-16 | 
| Last Update Date | 2025-07-11 |