| NPI | 1245747005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2017042704) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: KS 53-77990-072) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MO 2017042704) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: KS 53-77990-072) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MO 2017042704) | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2024-07-25 |