| NPI | 1952743080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 775950) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2015-09-25 |