| NPI | 1386984045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018012257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75899-061) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2026-02-17 |