| NPI | 1790153922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2015038004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.384490) |
| 163W00000X Registered Nurse (Licence: MO 2012033233) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2023-11-02 |