| NPI | 1760209126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MO RN144339) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MO 144339) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MO 144339) | |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |