| NPI | 1851912257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79284-081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020001588) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-06-20 |