| NPI | 1225517576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79930-011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139958) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2022-12-21 |