| NPI | 1831746973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5382137) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019032848) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-05-10 |