| NPI | 1811628464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022023165) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5381797031) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2023-09-19 |