| NPI | 1184231235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 1184231235) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 85377) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2026-03-14 |