| NPI | 1356990360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83034-091) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0995013) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R252784) | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2024-05-14 |