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 |