| NPI | 1437912466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024040583) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82850-011) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2025-09-02 |