| NPI | 1346951035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: KS 53-81819-101) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: MO 2016008013) |
| 163WP0200X Registered Nurse Pediatrics (Licence: KS 14-135063-101) | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2023-12-15 |