| NPI | 1386377539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-81252-042) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2022019012) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |