| NPI | 1083150429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-77501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1085895) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2024-02-01 |