| NPI | 1548690654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2013041174) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2002017259) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |