| NPI | 1689954026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 12294) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-75580) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2025-04-14 |