| NPI | 1487252193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 80306) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019016258) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2024-07-18 |