| NPI | 1659816148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2015026922) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2015026922) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2017001679) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2017001679) | |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2020-08-28 |