| NPI | 1083211031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022037522) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79741-092) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2025-07-28 |