| NPI | 1356991772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 78990) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 5378990072) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2024-03-21 |