| NPI | 1427562867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 77956) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017042677) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2018-06-16 |