| NPI | 1689024861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2011001998) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: KS 13-113795-072) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2017-11-09 |