| NPI | 1528710266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2020041971) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-82478-021) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2020041971) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-82478-021) | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2025-01-07 |