| NPI | 1134825466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-140386-051) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-27 |