| NPI | 1982192324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5379837) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP018654) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024813) | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2024-12-13 |