| NPI | 1265283923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024004868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2020001218) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 5383440042) | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-10-06 |