| NPI | 1962885285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022049691) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP128446) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2023-05-22 |