| NPI | 1508523689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-80823-111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-99102-111) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2022-04-07 |