| NPI | 1487103545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016035607) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78187-011) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2022-08-18 |