| NPI | 1346736832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018024335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 78267) |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2024-10-08 |