| NPI | 1891948923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 46289) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1491671031) |
| 163W00000X Registered Nurse (Licence: MO 2002005152) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2017-12-21 |