| NPI | 1598005563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011029758) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 75943) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2025-10-03 |