| NPI | 1851997696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 2020068410) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2020038845) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2022-01-18 |