| NPI | 1992747844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45793) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2002026672) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2014-11-17 |