| NPI | 1619842861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2026002276) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2026002276) |
| 363L00000X Nurse Practitioner (Licence: KS 85247) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 85247) | |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2026-02-24 |