| NPI | 1336634294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78322) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019000929) |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2023-02-09 |