| NPI | 1851823694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017009930) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77627-052) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2018-09-21 |