| NPI | 1487039319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 76884) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-112047-101) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-08-08 |