NPI | 1982243861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2020004717) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2015020472) |
Enumeration Date | 2019-12-24 |
Last Update Date | 2020-02-09 |