| NPI | 1538683404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2017027156) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 77789) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2026-03-02 |