| NPI | 1396422424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5382104042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023011559) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |