| NPI | 1801553938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2021047405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013009873) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2024-05-17 |