| NPI | 1861934341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017028411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-125338-032) |
| 163W00000X Registered Nurse (Licence: MO 2010022281) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 14-125338-032) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77619-032) | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2024-04-08 |