| NPI | 1346707338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024031483) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902793) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 2024031483) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-84718-071) | |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2025-09-30 |