| NPI | 1831595198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2014040921) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2003017726) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-23 |