| NPI | 1235610031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78105) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018029473) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2019-09-04 |