| NPI | 1063884708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-77126-051) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 102736) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2025-08-26 |