| NPI | 1952727562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014003275) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MO 2011033060) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: KS 14125547012) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 5376230012) | |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2019-07-16 |