| NPI | 1992146187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013021877) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2013021877) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 76007) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2023-02-09 |