| NPI | 1750689097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-75330-042) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI 2445) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2021-02-26 |