| NPI | 1780061887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 76736) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015004273) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2023-10-10 |