| NPI | 1861642530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2003017503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2003017503) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |