| NPI | 1881617116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2011035557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 102298) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 102298) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-08-16 |