| NPI | 1730532250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016034349) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2012018615) |
| 163W00000X Registered Nurse (Licence: KS 13-118875-022) | |
| 363L00000X Nurse Practitioner (Licence: KS 53-77421) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-10-05 |