| NPI | 1295769180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 089525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5378346) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2025-12-17 |