| NPI | 1508517988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019005044) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5378497111) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2025-07-14 |