| NPI | 1285937938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R35762) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2016-10-24 |