| NPI | 1447209879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45060) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 105747) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-07-21 |