| NPI | 1306591557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022003806) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-139501-102) |
| 163W00000X Registered Nurse (Licence: MO 2009017349) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80930-102) | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |