| NPI | 1912569484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2019024748) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2019024748) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2022-10-05 |