| NPI | 1659132272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KS 83070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 147475) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-05-23 |