| NPI | 1538677687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018001754) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013019585) |
| 163W00000X Registered Nurse (Licence: KS 14-142290-021) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78033-021) | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-02-23 |