| NPI | 1346844917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 5379780012) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2020038131) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2024-05-10 |