| NPI | 1699328427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017527) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78858-112) |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2023-01-30 |