| NPI | 1750820437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 77602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017006566) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-12-18 |