| NPI | 1023634599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019034471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79035-101) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-07-28 |