| NPI | 1558847491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2018021382) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MO 2018021382) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MO 2018021382) | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: MO 2018021382) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |