| NPI | 1689154965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024012232) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 105464) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2026-05-28 |