| NPI | 1629516646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017032429) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KS 14-134583-111) |
| 163WE0003X Registered Nurse, Emergency (Licence: MO 2010002288) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2025-04-29 |