| NPI | 1497340483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021012946) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79927-022) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2025-10-01 |