| NPI | 1184979098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012041039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75820-112) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2025-12-19 |