| NPI | 1841773496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 78399) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013021009) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2018027828) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2021-03-08 |