| NPI | 1235769324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020001741) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81388-021) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2023-09-27 |