| NPI | 1770280455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023006962) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5382014) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2025-11-25 |