| NPI | 1588669287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-45294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-39202) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2016-10-07 |