| NPI | 1801349345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016035591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2002016166) |
| 163W00000X Registered Nurse (Licence: KS 1497044111) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-10-04 |