| NPI | 1134688351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019006501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78567-111) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005616) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-04-30 |