| NPI | 1295449692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023000930) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018025178) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 5381898091) | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-07-26 |