| NPI | 1811413842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-78912) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP134603) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2023-06-28 |