| NPI | 1801045331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2004019200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R197478-2) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75369-042) | |
| 207P00000X Emergency Medicine (Licence: MO 2004019200) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2016-02-17 |