| NPI | 1225330111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011000114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 75204) |
| Enumeration Date | 2010-11-27 |
| Last Update Date | 2025-10-23 |