| NPI | 1730373309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 46094) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 114841) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2024-04-22 |