| NPI | 1245488956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2024028046) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46258) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2024-11-07 |