| NPI | 1841284239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-75582) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MO 089442) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2022-10-04 |