| NPI | 1154162501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 83315) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2024007834) |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-07-08 |