| NPI | 1972929545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2014007481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-84822-031) |
| 163W00000X Registered Nurse (Licence: MO 2000146301) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MO 2014007481) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2014007481) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-76854-031) | |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2020-11-04 |