| NPI | 1689264335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-80080-032) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2021002930) |
| 363LF0000X Nurse Practitioner Family (Licence: MO 2021002930) | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2024-09-16 |