| NPI | 1780521369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2026024111) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 13158154011) |
| Enumeration Date | 2026-05-01 |
| Last Update Date | 2026-08-05 |