| NPI | 1558764704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994567-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-76491-062) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014034214) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2019-06-26 |