| NPI | 1134838014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022041283) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5382735) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2024-01-23 |