| NPI | 1922581073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 78477) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014024763) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2018036933) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2022-04-07 |