| NPI | 1174070205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK R0128239) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AR A005462) |
| 363LF0000X Nurse Practitioner Family (Licence: KS 5377388091) | |
| 363LF0000X Nurse Practitioner Family (Licence: MO 2017044184) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2025-08-12 |