| NPI | 1386200442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 79765) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2020032914) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO c-apn.0001444-c-np) | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2025-07-10 |