| NPI | 1447707591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2017021174) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-77719-042) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2017021174) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-77719-042) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2017021174) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KS 53-77719-042) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MO 2017021174) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2017021174) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77719-042) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2017021174) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-77719-042) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-77719-042) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: KS 53-77719-042) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: MO 2017021174) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2022-10-25 |