| NPI | 1982199477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018021599) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 78585) |
| 163W00000X Registered Nurse (Licence: MO 155819) | |
| 163W00000X Registered Nurse (Licence: KS 14-89229-041) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2026-08-20 |