| NPI | 1528738267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80505-81) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A184403) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.032741) | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2025-08-11 |