| NPI | 1770015596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010020495) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77790) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2024-04-09 |