| NPI | 1386812642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 46157) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 46157) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2023-09-15 |