| NPI | 1740905868 |
|---|---|
| Former Name | HILARY CHRISTINE MITTRUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2022041013) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO Pending) |
| 163W00000X Registered Nurse (Licence: MO 2015018878) | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2023-09-08 |