| NPI | 1437817244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80678-121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021045040) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |