| NPI | 1912554874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0095282) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78814) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2022-12-20 |