| NPI | 1750118881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024033979) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5383623) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-23 |