| NPI | 1922399773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2010015976) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2010015976) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 2010015976) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2024-04-25 |