| NPI | 1003903675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 44758) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 090489) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-10-24 |