| NPI | 1881239895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2020002335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79337) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2024-07-02 |