| NPI | 1841948452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS F02220448) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022012396) |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2022-04-06 |