| NPI | 1477737948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 46140) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 109359) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2022-02-09 |