| NPI | 1417602707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 5380970) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2022007298) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS TMP-160593) | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-04-21 |