| NPI | 1871992057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 76990) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 76990) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2014004039) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2022-05-24 |