| NPI | 1316701741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024006503) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83557-091) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-12-19 |