| NPI | 1720619323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 5379374011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032401) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2020001066) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190070) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0101499) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 308867) | |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2024-06-21 |