| NPI | 1669504346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2006016771) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 45986) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2023-03-07 |