| NPI | 1619396033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2018003402) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019347) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9291659) | |
| 363L00000X Nurse Practitioner (Licence: NM 61691) | |
| 363L00000X Nurse Practitioner (Licence: KS 80682) | |
| 363L00000X Nurse Practitioner (Licence: KS 53-80682-102) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2022-06-12 |