| NPI | 1396337184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 855146) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79359-112) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2020007631) | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2023-10-10 |