| NPI | 1366699787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 46256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-85316-052) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2012-02-02 |