| NPI | 1386393320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2022009500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2022009500) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 5381180) | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2026-07-02 |