| NPI | 1992544514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83111-082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023049077) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |