| NPI | 1992157606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2016027878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2007033014) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 215849) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2024015345) | |
| 163W00000X Registered Nurse (Licence: AK 215848) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2024-08-22 |