| NPI | 1982438354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2024037870) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14159562101) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-09-20 |