| NPI | 1275370637 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024036127)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83882-022)  | 
| Enumeration Date | 2024-07-12 | 
| Last Update Date | 2025-09-02 |