| NPI | 1013889047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025040591) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 84824) |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-12-02 |