| NPI | 1417583584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 79015) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 79015) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2022-08-15 |