| NPI | 1942433966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 110255) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 110255) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2021-03-04 |