| NPI | 1588360440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2023004938) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2023004938) |
| 163W00000X Registered Nurse (Licence: MO 2017020449) | |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-11-27 |