| NPI | 1427001551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 086766) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-45011-82) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IL H161744) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-04-19 |