| NPI | 1386254753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023000181) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 79686) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2013026303) | |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2023-02-08 |