| NPI | 1891259875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: KS 53-80127-071) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MO 2021011085) |
| 163W00000X Registered Nurse (Licence: MO 2013019630) | |
| 163W00000X Registered Nurse (Licence: KS 14124413071) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2021011085) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: KS 53-80127-071) | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2022-01-14 |