| NPI | 1265855472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-76254) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-76254) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 98781) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2006026806) | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2026-01-21 |