| NPI | 1841498441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 154843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46050) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 154843) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 46050) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2017-06-20 |