| NPI | 1376847897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2010033247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2002021034) |
| 163W00000X Registered Nurse (Licence: KS 14107097082) | |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2017-11-16 |