| NPI | 1992475644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2022000704) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: KS 14-153793-081) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2022-02-03 |