| NPI | 1427395920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KS 14-112991-101) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2014044290) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.0038680) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71016439A) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: WI 16682-33) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209032420) | |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2025-07-02 |