| NPI | 1740729870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-77473) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016041943) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2016041943) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77473) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2025-11-20 |