| NPI | 1992473565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 82324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 149354) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-09-09 |