| NPI | 1861624843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-46290-122) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H-122972) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2019009370) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-46290-122) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2019009370) | |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2022-08-08 |