| NPI | 1427437185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-81635) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 20150001941) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2022-10-18 |