| NPI | 1295127363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 5377973121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2008001522) |
| 207Q00000X Family Medicine (Licence: MO 2015006727) | |
| 363LF0000X Nurse Practitioner Family (Licence: MO 2015006727) | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2023-03-22 |