| NPI | 1508484973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021037376) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 77406) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79609-062) | |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2022-04-23 |