| NPI | 1154612307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011010122) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5375379091) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2023-06-22 |