| NPI | 1083312409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 15684-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS TMP-161453) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-10-22 |