| NPI | 1841900073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2023049465) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 5382774062) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2023049466) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 114576) | |
| 163W00000X Registered Nurse (Licence: NE 96872) | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2024-04-23 |