| NPI | 1427715846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022000770) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 5380784) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2022-03-01 |