| NPI | 1699247288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5378338052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5024077) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 40974) | |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2026-04-07 |