| NPI | 1598340762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2020022830) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-79901-041) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2025-04-24 |