| NPI | 1376257154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022030042) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-81316-121) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-04-30 |