| NPI | 1013988310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 45202) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 133479) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2022-02-07 |