| NPI | 1306826227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 44897) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 071886) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2015-10-02 |