| NPI | 1730714155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-79715) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363L00000X Nurse Practitioner (Licence: MO 2020030794) | |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2022-01-26 |