| NPI | 1093532368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83639-071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024038999) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |