| NPI | 1477703767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 114722) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 114722) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS A0408021) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2025-10-06 |