| NPI | 1821028796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 88515) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 142812) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-11-17 |