| NPI | 1801263785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KS 76955) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-100401-081) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-10-19 |