| NPI | 1932434065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-APRN75125) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2008000823) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2020-05-01 |