| NPI | 1811443070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2017016078) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-77352-121) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2022-07-21 |