| NPI | 1518794494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5384532062) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 354447) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-10-02 |