| 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 |