| NPI | 1336512474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015013953) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 76885) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 5376885111) | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2023-09-05 |