| NPI | 1689347437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021028669) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5380326) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-09-03 |