| NPI | 1700606951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 221860) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 83255) |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-05-13 |