| NPI | 1548875370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020007025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5379377) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2022-12-12 |