| NPI | 1245718055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018028135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79465-051) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2025-12-22 |