| NPI | 1437414604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-46160-092) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2016033668) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-10-22 |