| NPI | 1245097617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-82468) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2023044099) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2023044099) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82468) | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2025-11-20 |