| NPI | 1679248041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2021031068) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2018016022) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |