| NPI | 1588350888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-82154) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2023006117) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-05-30 |