| NPI | 1679160915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11029744) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-119399-012) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2025-08-25 |