NPI | 1336192210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 45596) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 45596) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MO MO121533) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 45596) | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2024-05-28 |