| NPI | 1477313914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024010988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5383776111) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2025-09-23 |