| NPI | 1790085462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-75246-072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-96740-072) |
| 163W00000X Registered Nurse (Licence: MO 2005019513) | |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2024-08-12 |