| NPI | 1467833871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2019006014) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 76805) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-09-11 |