| NPI | 1811590367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020038847) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83856-011) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2025-02-24 |