| NPI | 1992973218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75175-012) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: KS 13-91537-012) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2022-03-26 |