| NPI | 1568831048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 78832) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2015025671) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A004522) | |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2020-11-05 |