| NPI | 1417464926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017035515) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77965-092) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2017035515) | |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2022-01-20 |