| NPI | 1851784805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2015006327) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-128690-062) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MO 2015006327) | |
| 163W00000X Registered Nurse (Licence: MO 2009004805) | |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2022-01-18 |