| NPI | 1740726660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2017001675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2013023791) |
| 363LF0000X Nurse Practitioner Family (Licence: KS 79397) | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2022-12-08 |