| NPI | 1265811442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5376798042) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 5376798042) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2025-02-17 |