| NPI | 1821721127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022024357) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MO 2012018657) |
| 207P00000X Emergency Medicine (Licence: MO 2022024357) | |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-08-02 |