| NPI | 1437668852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2017033616) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 2015031281) |
| 163WG0000X Registered Nurse, General Practice (Licence: KS 105000) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77901) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2017033616) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-01-04 |