| NPI | 1598517443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024013549) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5383137) |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-05-08 |