| NPI | 1841944386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-80731-022) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 5380731-022) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-80731-022) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KS 53-80731-022) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 5380731-022) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-80731-022) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 53-80731-022) | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |