| NPI | 1255372710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-77830) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 137243) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-07-21 |