| NPI | 1336873371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-81365-091) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2022028087) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-81365-091) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2022028087) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-81365-091) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2022028087) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2023-06-03 |