| NPI | 1417696188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024040003) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.26121) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82685-072) | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2024-11-21 |