| NPI | 1639530538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016007953) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2016007953) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2016-08-08 |