| NPI | 1154628154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011005422) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2024-06-24 |