| NPI | 1447357306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KS 45827) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 119070) |
| 363L00000X Nurse Practitioner (Licence: KS 45827) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-02-19 |