| NPI | 1306420229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5383792062) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 2020041235) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0996071) | |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2025-08-21 |