| NPI | 1942498571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 78774) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CO 130087) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2023-03-29 |