| NPI | 1073198453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021001530) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79782-082) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-05-13 |