| NPI | 1265108849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021034988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81071-022) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2025-01-14 |