| NPI | 1972348183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83093-071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024008612) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-07-12 |