| NPI | 1326305202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2012006265) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 5376669) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2023-12-13 |