| NPI | 1144315763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 145651) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45410) |
| 163W00000X Registered Nurse (Licence: MO 145651) | |
| 163W00000X Registered Nurse (Licence: KS 14-86097-102) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-06-23 |