| NPI | 1851811327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 123192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS AP60905096) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-08-28 |