| NPI | 1023850591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5383249101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024020665) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |