| NPI | 1982149878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017001487) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MO 2010020396) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2023000801) | |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2023-07-28 |