| NPI | 1548207251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 112426) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 44762) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-07-21 |