| NPI | 1245566629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-74998-081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-87361-081) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2009032629) | |
| 163W00000X Registered Nurse (Licence: MO 2009026203) | |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-11-19 |