| NPI | 1447745708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78273-082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018022925) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2025-03-07 |