| NPI | 1538695044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2017017857) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 77718) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2023-01-09 |