| NPI | 1245875996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79593-111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A184882) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 116208) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71016891A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3014113) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 17314-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 13206) | |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2025-09-18 |