| NPI | 1427478148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 76320) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015014623) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2024-09-12 |