| NPI | 1295120533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021039036) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 14-130993-112) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2021-11-22 |