| NPI | 1336648377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019037892) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78041-081) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2024-04-30 |