| NPI | 1093273260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83011-082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 9247) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP140556) | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2024-05-10 |