| NPI | 1154747970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78595-112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN203708) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1000627) | |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2024-02-13 |