| NPI | 1437498599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2013000713) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75821-061) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2013000713) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 75821) | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2016-01-05 |