| NPI | 1972787711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 202004196) |
| Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: CA 611537) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2022-03-23 |