| NPI | 1881900058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2012035666) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 141458) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2022-06-14 |