| NPI | 1598149932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 81691) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 70324) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP128178) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.027660) | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2024-01-09 |