| NPI | 1467051680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021007033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79707-031) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2023-07-12 |