| NPI | 1154097152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS ELKI-14F9XY) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903867) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |