| NPI | 1669619516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 75858) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 188976) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 5953) | |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2025-06-03 |