| NPI | 1740918341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2022029741) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS F02221106) |
| 363LF0000X Nurse Practitioner Family (Licence: KS 5380894) | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-09-02 |