| NPI | 1518670157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2023002546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 13-136622-082) |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2023-02-15 |