| NPI | 1386032811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022020580) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82018-041) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A004262) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2023-07-05 |