| NPI | 1841808862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 67669) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 53-79454-112) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-10-28 |