| NPI | 1578911350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2016017056) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: MO 2016017056) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2020-09-23 |