| NPI | 1841946324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022011256) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2022011256) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2022011256) | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2025-09-30 |