| NPI | 1689034274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016005312) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2016005312) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2016005312) | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |