| NPI | 1427457639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000111526) |
| 163W00000X Registered Nurse (Licence: KS 14-129803-031) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MO 2015021973) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76640-031) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2015021974) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2025-08-01 |