| NPI | 1235807942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-80500-121) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2021034083) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-12-13 |