| NPI | 1326678285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020001354) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79259-041) |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2021-11-02 |